Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | A 93887 | CA |
Y | 207RH0003X | Hematology & Oncology | P3420 | TX |
NPI | 1013956622 |
---|---|
Provider Name | Dr. David Luis Ramirez |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 15/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
304502301 | (05) | TX |
8DK798 | BCBS (01) | TX |